Individual
KELLI BREWER SABISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
19 FAIRWAY DR, SHALLOTTE, NC 28470-4422
(910) 755-3334
Mailing address
19 FAIRWAY DR, SHALLOTTE, NC 28470-4422
(910) 755-3334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1110
NC
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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